Dieruf Kathy, Burtner Patricia A, Provost Beth, Phillips John, Bernitsky-Beddingfield Ann, Sullivan Katherine J
Physical Therapy Graduate Program, Department of Orthopaedics, University of New Mexico, Albuquerque, NM 87131-0001, USA.
Pediatr Phys Ther. 2009 Spring;21(1):45-52. doi: 10.1097/PEP.0b013e31818ec835.
This pilot study was designed to examine the effects of a 2-week program of intensive body weight-supported treadmill training (BWSTT) on clinical measures of perceived health-related quality of life and fatigue in children with cerebral palsy.
Six children with spastic cerebral palsy (aged 6-14 years; all classified as Gross Motor Function Classification System Level I) received two 30-minute sessions of BWSTT daily for 2 weeks, and completed questionnaires preintervention and postintervention.
Ratings by children and their parents who completed the Pediatric Quality of Life Inventory and Multidisciplinary Fatigue module resulted in nonsignificant higher mean postscores. However, of the children with complete data, 4 showed minimal clinically important differences by child and parent-proxy report.
Results suggest that positive health-related quality of life changes can be identified after an intensive intervention of BWSTT, and should include ratings from both children and parents.
本初步研究旨在探讨为期2周的强化减重平板训练(BWSTT)计划对脑瘫患儿健康相关生活质量和疲劳的临床测量指标的影响。
6名痉挛型脑瘫患儿(年龄6 - 14岁;均归类为粗大运动功能分类系统I级)每天接受2次30分钟的BWSTT训练,为期2周,并在干预前和干预后完成问卷调查。
完成儿童生活质量量表和多学科疲劳模块的儿童及其父母的评分显示,干预后的平均得分虽有升高但无显著差异。然而,在有完整数据的儿童中,4名儿童经儿童自评和父母代理报告显示有最小临床重要差异。
结果表明,强化BWSTT干预后可发现与健康相关的生活质量有积极变化,且应包括儿童和父母双方的评分。